7/29/2019 Milford OPRA Request Form
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BOROUqH OF MII.TORI)P.O. Box 507, Milford, Nf 08848
Borough Office: (908) 995-4329Fax: (908) 995-2349
DATE:FAX TRANSMITTAL COVER SHEET
Please deliver the following page(s)
to:NAME:COMPANY:ADDRESS:COMMENTS:
FROM: Karen Dysart, Municipal ClerkTOTAL NUMBER OF PAGES
INCLUDING COVER SHEETIF YOU DO NOT RECEIVE THE ATTACHED, PLEASE
CALL US IMMEDIATELY.
7/29/2019 Milford OPRA Request Form
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BOROUGH OF MILFORDOPEN PUBLIC RECORDS ACT REQUEST FORMPO Box
507, 30 Water SlrectMfford, NJ 08848Phone 908-9954323Fax -
908-995-2343E- m a l I - m l fo rd c l e rk@g m a Lc omfmportant
NoticeThe last page of this form contans important nformation
related to your rights concernng govemment recrds. please read t
car
Fkst Name Ml Last NameE-maAddressMalling Address
State _ ZpTelephone Pck on_sitePreferred Delvery: Up _ US Mall _
lnspect _Fax _ E_malllf you are requestlng records contarnrng
personar rnformaflon, please crrcle one: under penarty of
N.J.s,A,2c:28-3' I cerry hat I HAW / HAw Nor boen convded of
anylndiclable offense uerttie aui or lewJersey, anyothef state. or
the Unlted Statos.
Authoizaton Cost gSelect payment Meth
Cash Check MoneyFoes: Letter stze pages -per pageLegal slze
pages _ 9pef pageOther materials (CD
etc) - actual cost ofDelivery; Dellvery / postage feaddtonal
dependngdetiwry type.Extras: Speclal seMce ctlardependent upon
req
Record Request lnformatlon: Ploase be as specific as posslble in
describng the records beng requested. Also, please note that
vouprefened method of delvery wll only be accommodated if the
custodan has tie technotogical rean; and the "t"biitror1" .i"*
